Epic Code LAB8380 Acetylcholine Receptor Blocking Antibody, Serum
Test Name Alias
1230101397 | Quest: 34459 | XARBL
Interface Order Alias
8380
Clinical Information
Acetylcholine Receptor Blocking Antibody - Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by muscle weakness, most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the neuromuscular junction. AChR binding autoantibodies are diagnostic of MG, and are found in 85-90% of MG patients. AChR blocking autoantibodies prevent inter-action of binding antibodies with the AChR. Fewer than 1% of patients have blocking antibodies without binding antibodies. Blocking antibodies are present in about 50% of patients with MG, but rare in other conditions. Therefore, blocking antibodies have utility in ruling out a possible false positive binding assay and detecting the rare patient without AChR binding antibodies.
Specimen Requirements
Specimen Collection Criteria
Collect (preferred specimen): One Gold-top SST tube.
Also acceptable: One plain Red-top tube.
Physician Office/Draw Specimen Preparation
Let specimen clot 30-60 minutes then centrifuge to separate serum from cells. Transfer serum to plastic transport tube and maintain at room temperature (20-26°C or 68-78.8°F) prior to transport.
Preparation for Courier Transport
Transport: 1.0 mL serum, room temperature (20-26°C or 68-78.8°F) (Minimum: 0.5 mL)
In-Lab Processing
Let specimen clot 30-60 minutes then centrifuge to separate serum from cells within two hours of collection. Transfer serum to a plastic transport tube and refrigerate (2-8°C or 36-46°F).
Transport: 1.0 mL serum, room temperature (20-26°C or 68-78.8°F) (Minimum: 0.5 mL)
Rejection Criteria
- Hemolyzed specimens.
- Severely lipemic specimens.
- Specimens not collected and processed as indicated.
Specimen Stability
Specimen Stability for Testing:
Room Temperature (20-26°C or 68-78.8°F): 14 days
Refrigerated (2-8°C or 36-46°F): 14 days
Frozen (-20°C/-4°F or below): 30 days
Specimen Storage in Department Prior to Disposal:
Specimen retention time is determined by the policy of the reference laboratory. Contact the Send Outs Laboratory with any questions.
Test Frequency
Performed: Sunday, Tuesday, Thursday.
Results available in 4-5 days.
Reference Range
Reference Range(s)
<15 % Inhibition
Performing Department
Send Outs
Performing Department Laboratory Location
Sent to Quest Diagnostics- Wood Dale, IL
CPT
86042
Reviewed Date
11/13/2025
Orderable Regions
Send Outs